[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"wound-infection-superficial\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:wound-infection-superficial":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":33,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100555312","antibiotic-prophylaxis-in-metabolic-bariatric-surgery-100555312",false,"NCT06510452","Antibiotic Prophylaxis in Metabolic Bariatric Surgery","Efficacy of Antibiotic Prophylaxis in Metabolic Bariatric Surgery: A Randomized Controlled Trial","Inclusion Criteria:\n\n° Patients must be older than 18 and meet the eligibility criteria for MBS as outlined by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) and the Dutch Federation of Medical Specialists for the surgical treatment of obesity.\n\nExclusion Criteria:\n\n* Patients undergoing immunotherapy or corticosteroid treatment for Crohn's disease or rheumatoid arthritis.\n* Patients with a history of endocarditis require prophylactic antibiotics.\n* Patients with known severe allergies to antibiotics.\n* Patients with active infections or recently treated with antibiotics (within the last 30 days).\n* Patients with compromised immune systems, including those with HIV\u002FAIDS or undergoing chemotherapy.\n* Patients with chronic liver or kidney disease.\n* Patients with uncontrolled diabetes (HbA1c \\> 9%).\n* Patients with a history of previous metabolic bariatric surgery.\n* Pregnant or breastfeeding women.\n* Patients with any other medical condition that, in the opinion of the investigator, would compromise the patient's safety or the study's integrity.",true,"ALL","18 Years","70 Years",{"count":21,"type":22},3352,"ESTIMATED","INTERVENTIONAL",[25],"NA","SUMMARY Rationale: Prophylactic antibiotics in laparoscopic surgeries, including Metabolic Bariatric Surgery (MBS), are routinely provided to reduce postoperative infections, especially at wound incision sites. However, since incisional wound infections in laparoscopic MBS are rare and morbidity is very low, the benefit of antibiotic prophylaxis is questionable.\n\nObjective: Evaluate the non-inferiority of omitting antibiotic prophylaxis in MBS. Compare postoperative outcomes between Group A (no antibiotics) and Group B (standard antibiotic care) to determine if omission increases complications, particularly wound infections.\n\nStudy Design: Randomized controlled trial (RCT), double-blind.\n\nStudy Population: Patients with obesity eligible for MBS.\n\nIntervention:\n\n* Group A (No Antibiotic Prophylaxis): Undergo MBS without antibiotics to test safety regarding postoperative complications, focusing on surgical site infections (SSIs).\n* Group B (Standard Antibiotic Prophylaxis): Receive standard one-time antibiotics before incision.\n\nMain Study Parameters\u002FEndpoints: Compare the incidence of incisional and organ\u002Fspace SSIs within six weeks post-surgery between Group A and Group B to determine if omitting antibiotics affects infection rates.",[28,29,30,31,32],"Antibiotic Reaction","Wound Infection Superficial","Wound Infection Deep","Bariatric Surgery Candidate","Complication,Postoperative",[34,35,36],"anti-biotics","non-inferiority","surgical side infection","NOT_YET_RECRUITING","2024-07-29",{"date":40,"type":41},"2024-07-31","ACTUAL",{"date":43,"type":22},"2024-10-01",{"date":45,"type":22},"2026-04-01",{"name":47,"class":48},"General Committee of Teaching Hospitals and Institutes, Egypt","OTHER_GOV",2]